<!DOCTYPE html>
<html>
  <head>
    <meta charset="utf-8">
    <title>The Starbuzz Bean Machine</title>
  </head>
  <body>

    <h1>The Starbuzz Bean Machine</h1>
    <h2>Fill out the form below and click submit to order</h2>

    <form action="http://starbuzzcoffee.com/processorder.php" method="POST">
      <p>
        Choose your beans:
        <select name="beans">
          <option value="House Blend">House Blend</option>
          <option value="Bolivia">Shade Grown Bolivia Supermo</option>
          <option value="Guatemala">Organic Guatemala</option>
          <option value="Kenya">Kenya</option>
        </select>
      </p>
      <p>
        Type:<br>
          <input type="radio" name="beantype" value="whole"> Whole bean<br>
          <input type="radio" name="beantype" value="ground" checked> Ground
      </p>
      <p>
        Number of bags: <input type="number" name="bags" min="1" max="10">
      </p>
      <p>
        Must arrive by date: <input type="date" name="date">
      </p>
      <p>
        Extras:<br>
        <input type="checkbox" name="extras[]" value="giftwrap"> Gift wrap<br>
        <input type="checkbox" name="extras[]" value="catalog" checked> Include catalog
        with order

      </p>
      <p>Ship to: <br>
        Name:<input type="text" name="name"><br>
        Address:<input type="text" name="address"><br>
        City:<input type="text" name="city"><br>
        State:<input type="text" name="state"><br>
        Zip:<input type="text" name="zip"><br>
        Phone:<input type="tel" name="phone"><br>
      </p>
      <p>Customer Comments:<br>
        <textarea name="comments" rows="5" cols="30"></textarea>
      </p>
      <p>
        <input type="submit" value="Order Now">
      </p>
    </form>


  </body>
</html>

